Individual
DR. VINCENT ANTHONY O'DONNELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90017-4810
(213) 977-1211
(213) 977-0625
Mailing address
1245 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90017-4810
(213) 977-1211
(213) 977-0625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A24882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5607416
MEDI-CAL PIN
CA
Enumeration date
08/23/2006
Last updated
03/13/2012
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